Individual
REBECCA ANN ROBERTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.M.P.
Contact information
Practice address
3007 6TH AVE, TACOMA, WA 98406-6202
(253) 448-0133
Mailing address
3007 6TH AVE, TACOMA, WA 98406-6202
(253) 448-0133
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA60277079
WA
Other
Enumeration date
09/26/2013
Last updated
09/26/2013
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